Wound retraction system for isobaric laparoendoscopic single-site surgery to treat adnexal tumors: pilot study.

Abstract

Transumbilical laparoendoscopic single-site (LESS) surgery is a recent advancement in minimally invasive surgery. However, this procedure usually requires a specialized multichannel port for introducing the laparoscope and instruments under pneumoperitoneum. In an isobaric procedure, a wound retractor alone can conveniently be used for transumbilical single-site access. Fourteen isobaric LESS adnexal surgeries including 1 emergency procedure with adnexal torsion were performed using multiple instruments inserted through the wound retractor. No extraumbilical incisions or conversion to standard multiple-port laparoscopic surgery were required. Port-related complications were not noted, and the cosmetic results were excellent. A wound retractor offers safe and reliable access for isobaric LESS adnexal surgery as an alternative to the current specialized port systems.

• Authors: Akihiro Takeda, Sanae Imoto, Masahiko Mori, Tomoko Nakano, Hiromi Nakamura
• Journal: Journal of minimally invasive gynecology (J Minim Invasive Gynecol) 2010 Sep-Oct Vol. 17 Issue 5 Pg. 626-30 ISSN: 1553-4650 [Print] United States
• PMID: 20579942 (Publication Type: Journal Article)
• Copyright: Copyright © 2010 AAGL. Published by Elsevier Inc. All rights reserved.

Topics

• Adult
• Aged
• Female
• Genital Neoplasms, Female (surgery)
• Gynecologic Surgical Procedures (instrumentation, methods)
• Humans
• Laparoscopy (methods)
• Middle Aged
• Pilot Projects